Drugs / Alteplase
last change Jul 2026 re-read 2 minutes ago

Alteplase

Protein / enzyme biologic

Developed for
ischemic stroke · pulmonary embolism · stroke disorder · venous thromboembolism · intracerebral hemorrhage · pleural empyema · myocardial infarction · post-thrombotic syndrome
+43 more · thrombotic disease · cancer · empyema · abscess · acute respiratory distress syndrome · central retinal vein occlusion · cerebral infarction · coronary artery disorder · COVID-19 · fibrinolytic defect · myocardial ischemia · respiratory tract infectious disorder · ST-elevation myocardial infarction · acquired aneurysmal subarachnoid hemorrhage · acute respiratory failure · adult acute respiratory distress syndrome · anterior spinal artery stroke · brain infarction · brain ischemia · cancer of unknown primary site · central retinal artery occlusion · cerebral sinovenous thrombosis · diabetic macular edema · hematopoietic and lymphoid cell neoplasm · hemorrhagic stroke · intracranial sinus thrombosis · palsy · retinal vascular disorder · severe acute respiratory syndrome · thrombophilia · thrombophlebitis · urinary bladder disorder · vascular occlusion disorder · basilar artery occlusion · brain small vessel disease 4 · cerebral artery occlusion · hydrocephalus · intracranial thrombosis · intracranial vasospasm · middle cerebral artery infarction · peripheral arterial occlusive disease 1 · pleural disorder · pleuropneumonia
Investigated by
Genentech, Inc. · Boehringer Ingelheim · Second Affiliated Hospital, School of Medicine, Zhejiang University · National Institute of Neurological Disorders and Stroke (NINDS) · National Heart, Lung, and Blood Institute (NHLBI) · Boston Scientific Corporation
+203 more · Johns Hopkins University · Beijing Tiantan Hospital · EKOS Corporation · The Hospital for Sick Children · Canadian Institutes of Health Research (CIHR) · Dartmouth-Hitchcock Medical Center · Emissary International LLC · Hospital Clinic of Barcelona · Instituto de Salud Carlos III · Linyi People's Hospital · McMaster University · Medical College of Wisconsin · Melbourne Health · Mid America Heart Institute · National Institutes of Health Clinical Center (CC) · Neuroscience Trials Australia · Scripps Health · Tanabe Pharma Corporation · The First Affiliated Hospital of Zhengzhou University · The George Institute · Thrombolex, Inc. · University of Cincinnati · University of Colorado, Denver · University of North Carolina, Chapel Hill · Affiliated Hospital of Nantong University · Ahi Evren Chest and Cardiovascular Surgery Education and Research Hospital · Alberta Children's Hospital · Angde Biotech Pharmaceutical Co., Ltd. · Assistance Publique - Hôpitaux de Paris · Azienda U.S.L. 1 di Massa e Carrara · BSN Medical Inc · Baotou Central Hospital · Beijing Chao Yang Hospital · Beijing Friendship Hospital · Beijing Shijitan Hospital, Capital Medical University · Beijing Tongren Hospital · Beijing Tsinghua Chang Gung Hospital · Ben Taub Hospital · Berry Consultants · Beth Israel Deaconess Medical Center · Bristol-Myers Squibb · British Columbia Children's Hospital · Brno University Hospital · CSPC Mingfule Pharmaceutical (Guangzhou) Co., Ltd. · Central Hospital, Nancy, France · Changsha Central Hospital · Charitable Trust Mihara Cerebrovascular Disorder Research Promotion Fund · Charles University, Czech Republic · Chengde Central Hospital · Children's Hospital of Eastern Ontario · China Medical University Hospital · Chinese University of Hong Kong · Commonwealth Scientific and Industrial Research Organisation, Australia · Conselho Nacional de Desenvolvimento Científico e Tecnológico · David Dornbos · Demikhov Municipal Clinical Hospital 68 · Denver Health and Hospital Authority · Dutch Heart Foundation · Eastern Regional Medical Center · FDA Office of Orphan Products Development · Faculty Hospital Kralovske Vinohrady · Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health · Fight for Sight (Funder) · First Affiliated Hospital of Jinan University · Fudan University · Fundacion Clinic per a la Recerca Biomédica · Fundació La Marató de TV3 · General Hospital of Shenyang Military Region · General University Hospital, Prague · Grupo Mexicano para el Estudio de la Medicina Intensiva · Guizhou Provincial People's Hospital · Hamilton Health Sciences Corporation · Heart and Stroke Foundation of Canada · Hebei Medical University Third Hospital · all 209 on the full record

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (4) US (FDA) ACTIVASE 1995-04-03 – 2005-01-04 fda.gov
Approved US (FDA) ACTIVASE 1987-11-13 fda.gov

Trials 120 · started per year

today
US approved 1987
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19821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT06184321 Aug 2023 → Feb 2027 expected cancer, hematopoietic and lymphoid cell neoplasm M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 19 trials
Phase 1 NCT04419493 Jun 2020 → Jun 2021 Boehringer Ingelheim Completed No outcome recorded
Phase 1 NCT03417401 Oct 2018 → Dec 2021 central retinal vein occlusion Universitaire Ziekenhuizen KU Leuven Withdrawn No outcome recorded
Phase 1 NCT01478698 Jan 2016 → May 2022 Sir Charles Gairdner Hospital Terminated No outcome recorded
Phase 1 NCT02135588 Oct 2013 → Dec 2021 cancer Eastern Regional Medical Center Unknown No outcome recorded
Phase 1 NCT01591096 Oct 2012 → Dec 2013 stroke disorder Seattle Children's Hospital Terminated No outcome recorded
Phase 1 NCT01581411 Jan 2012 → Nov 2015 central retinal vein occlusion Weill Medical College of Cornell University Completed No outcome recorded
Phase 1 NCT01150266 Aug 2011 → Sep 2013 ischemic stroke University of California, San Diego Withdrawn No outcome recorded
Phase 1 NCT00265005 Jun 2005 → Dec 2009 thrombotic disease University of Louisville Terminated No outcome recorded
Phase 1 NCT00001713 Feb 1998 → Jan 2006 thrombophlebitis National Institutes of Health Clinical Center (CC) Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT00086723 Jul 2003 → Jan 2006 cancer of unknown primary site Northwestern University Completed No outcome recorded
Phase 1/2 NCT00250991 Jul 2003 → Jul 2007 stroke disorder University of Cincinnati Completed No outcome recorded
Phase 221 trials
Phase 2 NCT05540834 May 2022 → May 2026 overdue acute respiratory failure, fibrinolytic defect, thrombophilia South West Sydney Local Health District Recruiting No outcome recorded
Phase 2 NCT03348826 Jun → Sep 2020 cancer University Health Network, Toronto Withdrawn No outcome recorded
Phase 2 NCT04357730 May 2020 → Mar 2021 acute respiratory distress syndrome, severe acute respiratory syndrome Denver Health and Hospital Authority Completed No outcome recorded
Phase 2 NCT04356833 Apr 2020 → Mar 2021 COVID-19 University College, London Completed No outcome recorded
Phase 2 NCT03854266 Mar 2020 → Mar 2023 pulmonary embolism University of Aarhus Unknown No outcome recorded
Phase 2 NCT04028518 Jul 2019 → Oct 2020 ischemic stroke Angde Biotech Pharmaceutical Co., Ltd. Unknown No outcome recorded
Phase 2 NCT03672006 Apr → Dec 2019 venous thromboembolism Medical College of Wisconsin Completed No outcome recorded
Phase 2 NCT04676659 May 2018 → May 2020 ischemic stroke Beijing Tiantan Hospital Completed No outcome recorded
Phase 2 NCT02242084 Apr 2016 → Mar 2019 anterior spinal artery stroke, palsy, urinary bladder disorder Rabin Medical Center Terminated No outcome recorded
Phase 2 NCT02472574 Jun 2015 → Jun 2018 intracerebral hemorrhage Tongji Hospital Unknown No outcome recorded
Phase 2/34 trials
Phase 2/3 NCT05766124 Nov 2024 → Mar 2028 expected respiratory tract infectious disorder Chinese University of Hong Kong Recruiting No outcome recorded
Phase 2/3 NCT04640194 Dec 2020 → Jul 2022 adult acute respiratory distress syndrome Boehringer Ingelheim Completed No outcome recorded
Phase 2/3 NCT03876119 Dec 2018 → May 2021 ischemic stroke Hospital Clinic of Barcelona Completed No outcome recorded
Phase 2/3 NCT01204333 Sep 2011 → Dec 2016 intracranial sinus thrombosis Jan Stam, MD, PhD Terminated No outcome recorded
Phase 345 trials
Phase 3 NCT07668323 Jul 2026 → Jul 2028 expected ischemic stroke, vascular occlusion disorder The First Affiliated Hospital with Nanjing Medical University Not yet recruiting No outcome recorded
Phase 3 NCT06768138 Jun 2025 → Sep 2028 expected ischemic stroke Central Hospital, Nancy, France Recruiting No outcome recorded
Phase 3 NCT06841965 Mar 2025 → Jun 2027 expected ischemic stroke Second Affiliated Hospital, School of Medicine, Zhejiang University Not yet recruiting No outcome recorded
Phase 3 NCT06841978 Mar 2025 → Jun 2027 expected ischemic stroke Second Affiliated Hospital, School of Medicine, Zhejiang University Not yet recruiting No outcome recorded
Phase 3 NCT06749834 Jan 2025 → Dec 2026 expected ischemic stroke Second Affiliated Hospital, School of Medicine, Zhejiang University Recruiting No outcome recorded
Phase 3 NCT06352632 Sep 2024 → Sep 2034 expected stroke disorder The George Institute Recruiting No outcome recorded
Phase 3 NCT05797792 Nov 2023 → Aug 2025 overdue ischemic stroke Hospital Clinic of Barcelona Active not recruiting No outcome recorded
Phase 3 NCT05965687 Aug 2023 → Aug 2024 ischemic stroke Ji Xunming,MD,PhD Unknown No outcome recorded
Phase 3 NCT05856851 Aug 2023 → Dec 2025 overdue ischemic stroke Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University Recruiting No outcome recorded
Phase 3 NCT05634382 Dec 2022 → Nov 2024 ischemic stroke Second Affiliated Hospital, School of Medicine, Zhejiang University Unknown No outcome recorded
Phase 424 trials
Phase 4 NCT07643493 Jul 2026 → May 2028 expected intracerebral hemorrhage David Dornbos Not yet recruiting No outcome recorded
Phase 4 NCT07592520 Apr 2026 → Apr 2027 expected pleural empyema Dartmouth-Hitchcock Medical Center Not yet recruiting No outcome recorded
Phase 4 NCT07095361 Sep 2025 → Sep 2028 expected empyema, pleural empyema, respiratory tract infectious disorder University of North Carolina, Chapel Hill Recruiting No outcome recorded
Phase 4 NCT06571149 Mar 2025 → Jan 2029 expected ischemic stroke Insel Gruppe AG, University Hospital Bern Recruiting No outcome recorded
Phase 4 NCT06115070 Mar 2025 → Dec 2027 expected ischemic stroke, thrombotic disease Second Affiliated Hospital, School of Medicine, Zhejiang University Not yet recruiting No outcome recorded
Phase 4 NCT05491356 May 2023 → Mar 2024 fibrinolytic defect Hamilton Health Sciences Corporation Completed No outcome recorded
Phase 4 NCT05493163 Oct 2022 → Mar 2026 pulmonary embolism Faculty Hospital Kralovske Vinohrady Completed No outcome recorded
Phase 4 NCT04806373 Jun 2021 → Dec 2023 Memorial Healthcare System Completed No outcome recorded
Phase 4 NCT04411316 Dec 2019 → Dec 2022 post-thrombotic syndrome, venous thromboembolism University of Toledo Health Science Campus Withdrawn No outcome recorded
Phase 4 NCT03988842 Jul 2019 → Apr 2020 acute cor pulmonale, pulmonary embolism, pulmonary embolism and infarction Victor Tapson, MD Terminated No outcome recorded
Phase not applicable14 trials
NCT06433011 Oct 2024 → Apr 2028 expected pulmonary embolism Thrombolex, Inc. Recruiting No outcome recorded
NCT06583889 Aug 2024 → Jan 2029 expected cerebral sinovenous thrombosis Beijing Tiantan Hospital Recruiting No outcome recorded
NCT06487052 Jan 2024 → Jan 2027 expected pulmonary embolism Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health Recruiting No outcome recorded
NCT05897554 Aug 2023 → Mar 2025 brain infarction, ischemic stroke, thrombotic disease Xuanwu Hospital, Beijing Completed No outcome recorded
NCT05736757 Dec 2022 → Apr 2023 overdue Second Affiliated Hospital, School of Medicine, Zhejiang University Recruiting No outcome recorded
NCT06667882 Dec 2021 → Oct 2024 hemorrhagic disease, pulmonary embolism Semmelweis University Completed No outcome recorded
NCT04926428 Dec 2020 → Mar 2021 COVID-19 Grupo Mexicano para el Estudio de la Medicina Intensiva Completed No outcome recorded
NCT04915586 Dec 2019 → Dec 2020 pleural empyema National University of Malaysia Completed No outcome recorded
NCT02225782 Oct 2014 → Jul 2016 kidney disorder University of Windsor Unknown No outcome recorded
NCT02474810 Jan 2013 → Jul 2015 chronic renal failure syndrome Nova Scotia Health Authority Completed No outcome recorded
Also used as a comparator or background therapy in 92 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT06760195 Background Jan → Jun 2025 overdue ischemic stroke Capital Medical University Not yet recruiting No outcome recorded
Phase 14 trials
Phase 1 NCT06663631 Background Nov 2024 → Jan 2025 overdue ischemic stroke Capital Medical University Recruiting No outcome recorded
Phase 1 NCT05258565 Comparator Mar → Jun 2022 ischemic stroke Assiut University Completed No outcome recorded
Phase 1 NCT02492477 Background Jan → Jul 2016 cancer Krankenhaus Barmherzige Schwestern Linz Terminated No outcome recorded
Phase 1 NCT00283088 Comparator Oct 2003 → Oct 2008 ischemic stroke University of California, San Diego Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT01878136 Comparator Mar 2015 → Sep 2016 brain aneurysm, hydrocephalus, intracranial vasospasm, subarachnoid hemorrhage Rush University Medical Center Withdrawn No outcome recorded
Phase 219 trials
Phase 2 NCT05281549 Comparator May 2021 → Jan 2022 ischemic stroke Beijing Tiantan Hospital Unknown No outcome recorded
Phase 2 NCT04110275 Comparator Oct 2019 → May 2021 pulmonary embolism Angde Biotech Pharmaceutical Co., Ltd. Unknown No outcome recorded
Phase 2 NCT04256473 Comparator Aug 2019 → Mar 2022 ischemic stroke Erasmus Medical Center Completed No outcome recorded
Phase 2 NCT04071613 Comparator Jun 2019 → Nov 2021 ischemic stroke Melbourne Health Completed No outcome recorded
Phase 2 NCT03108833 Comparator Jun 2017 → Dec 2019 pulmonary embolism Tasly Biopharmaceuticals Co., Ltd. Completed No outcome recorded
Phase 2/36 trials
Phase 2/3 NCT05728333 Comparator Nov 2023 → Feb 2026 overdue ischemic stroke Xinqiao Hospital of Chongqing Recruiting No outcome recorded
Phase 2/3 NCT05105633 Comparator Nov 2021 → May 2028 expected basilar artery occlusion University of Melbourne Recruiting No outcome recorded
Phase 2/3 NCT03357133 Comparator Dec 2017 → Jun 2020 ischemic stroke Capital Medical University Terminated No outcome recorded
Phase 2/3 NCT02180204 Comparator Jan 2015 → Jun 2020 ischemic stroke Reza Behrouz, DO Withdrawn No outcome recorded
Phase 2/3 NCT01123161 Comparator Jun 2010 → Jan 2015 ischemic stroke University of California, San Diego Terminated No outcome recorded
Phase 328 trials
Phase 3 NCT07687056 Comparator Jun 2026 → Dec 2030 expected ischemic stroke University of Calgary Not yet recruiting No outcome recorded
Phase 3 NCT06658197 Comparator Dec 2025 → Dec 2026 expected intracranial thrombosis, ischemic stroke Xuanwu Hospital, Beijing Recruiting No outcome recorded
Phase 3 NCT06878066 Comparator Mar 2025 → Dec 2028 expected intracerebral hemorrhage, ischemic stroke Guri Hagberg Recruiting No outcome recorded
Phase 3 NCT06196320 Comparator Jan 2024 → Sep 2025 ischemic stroke Beijing Tiantan Hospital Completed No outcome recorded
Phase 3 NCT05965193 Background Aug 2023 → Aug 2025 ischemic stroke Ji Xunming,MD,PhD Unknown No outcome recorded
Phase 415 trials
Phase 4 NCT07111559 Comparator Aug 2025 → Mar 2028 expected brain small vessel disease 4, ischemic stroke Nippon Medical School Recruiting No outcome recorded
Phase 4 NCT05910125 Comparator Jul 2023 → Jul 2027 expected ischemic stroke Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University Not yet recruiting No outcome recorded
Phase 4 NCT06653946 Comparator Jul 2022 → Jul 2024 overdue ischemic stroke Kafrelsheikh University Recruiting No outcome recorded
Phase 4 NCT06058884 Comparator Jan 2022 → Jun 2023 ischemic stroke Kafrelsheikh University Completed No outcome recorded
Phase 4 NCT06337175 Comparator Jun 2021 → Oct 2023 ischemic stroke Kafrelsheikh University Completed No outcome recorded
Phase not applicable18 trials
NCT06833827 Comparator Feb 2025 → Jan 2028 expected pulmonary embolism Leiden University Medical Center Recruiting No outcome recorded
NCT07360717 Comparator Nov 2024 → Dec 2025 U. N. Mehta Institute of Cardiology and Research Center Completed No outcome recorded
NCT06241677 Comparator Apr 2024 → Dec 2028 expected ischemic stroke Chinese University of Hong Kong Recruiting No outcome recorded
NCT05903417 Comparator Jul 2023 → Oct 2025 respiratory tract infectious disorder National University of Malaysia Completed No outcome recorded
NCT07374978 Comparator Jul 2023 → May 2025 pulmonary embolism Ain Shams University Completed No outcome recorded

Evidence & citations 24 cited values

Every value below carries the sentence it was read from. 224 sources stand behind the page.

FieldValueCited text
Known as Alteplase “We randomly assigned patients with ischemic stroke who were receiving 0.9 mg of alteplase per kilogram of body weight less than 4.5 hours after the onset of ischemic stroke...” PMID 25671797 Feb 2015
137

“Patients were randomized within 3 h of onset to receive either intravenous alteplase, in accordance with the current European labeling, or up to 0.9 mg/kg intra-arterial...” PMID 21990564 Oct 2009

“We included patients with acute ischaemic stroke (National Institutes of Health Stroke Scale score ≥10) who received intravenous thrombolysis (alteplase bolus) within 3 h of...” PMID 30878103 Apr 2019

“After each catheter placement, subsequent bolus of 1mg of Alteplase (Actilyse, Boehringer Ingelheim)/catheter is administered, followed by continuous infusion at 1...” NCT05493163

“Standard reperfusion treatment for high-risk PE patients is thrombolytic therapy, typically consisting of Alteplase, Urokinase, or Tenecteplase, with the idea of accelerated...” NCT06833827

“In the combined treatment group, intravenous alteplase (0·9 mg/kg bodyweight, maximum dose 90 mg per patient) was administered as early as possible after randomisation for 60...” PMID 35810756 Jul 2022

“Targeted, intracoronary delivery of low-dose recombinant tissue plasminogen activator (alteplase) might be an effective strategy for improving microvascular obstruction without...” PMID 41194755 Oct 2025

“Standard endovascular techniques to mechanically remove clot material, such as mechanical thrombectomy and/or balloon angioplasty and/or local application of alteplase or...” NCT06583889

“Recombinant human tissue-type plasminogen activator(rt-PA,chemical name:Alteplase,brand name: Actilyse)50mg/stick,provided by Boehringer Ingelheim Pharma Gesellschaft mit...” NCT04110275

“Patients randomized to the IPFT study arm will receive a total of 5-6 doses of alteplase 10mg and DNase 5 mg BID x 3 days delivered through a chest tube or small bore catheter...” NCT03873766

“Rt-PA (alteplase) is injected intravenously in the 2 arms of the study for a duration of 60 minutes in the arm with a "classical dose" and 90 minutes in the arm with a "low...” NCT00132509

“We investigated the safety and efficacy of alteplase, a recombinant tissue plasminogen activator, in combination with minimally invasive surgery (MIS) in patients with...” PMID 27751554 Oct 2016

“Participants randomised to the IA thrombolysis group will receive IA thrombolysis (tenecteplase or alteplase) at the time of completion of the mechanical thrombectomy part of...” NCT06352632

“Patients will receive standard dose intravenous alteplase (0.9 mg/kg, the first 10% administered as an initial bolus and the remainder over a 1-hour period, with a maximum dose...” NCT06841965

alteplase is used in the intravenous thrombolysis. It catalyzes the conversion of plasminogen to plasmin, the major enzyme responsible for clot breakdown.” NCT03469206

“Recombinant tissue-plasminogen activator treatment. Low-dose (0.6mg/kg) alteplase will be given because this dosage is the only dosage approved in Japan.” NCT07111559

“either standard-of-care alteplase (0·9 mg/kg [maximum 90 mg], administered intravenously with 10% as a bolus over 1 min and 90% as an infusion over 1 h)” PMID 35525251 May 2022

“intravenous alteplase (0.9 mg/kg, the first 10% administered as an initial bolus and the remainder over a 1-hour period, with a maximum dose of 90 mg)” NCT06749834

“Agent options: alteplase (rt-PA) at 0.225 mg/kg (maximum 22.5 mg) or tenecteplase (TNK) at 0.0625 mg/kg (maximum 6.25 mg), infused over 15-30 minutes.” NCT07668323

“Intravenous (IV) recombinant tissue plasminogen activator (IV alteplase) is currently the only proven effective medication for the treatment of AIS” NCT05258565

“Patients will receive intravenous alteplase (0.9mg/kg, maximum 90mg) or tenecteplase (0.25mg/kg, maximum 25mg) before endovascular thrombectomy.” NCT05827042

“both drugs (Alteplase (ALP) and Tenecteplase (TNK)) are approved drugs for the indication AIS with similar efficacy and safety profile.” NCT06878066

“Intravenous thrombolysis with recombinant tissue-type plasminogen activator (rt-PA,alteplase) or TNK-tPA (Tenecteplase,Metalyse)” NCT05634382

“In the study group, tPA (Alteplase) 25 mg i/v over 2 hours, followed by a 25 mg tPA infusion over the subsequent 22 hours.” NCT04453371

“Intra-pleural deoxyribonuclease 5mg and intra-pleural Alteplase 10mg, every 12 hours over 72 hours (total of 6 treatments)” NCT02135588

“medical management of patient according guide lines, either alteplase if presented in it's time window, or anti-platelet” NCT05091320

“Endovascular thrombolysis consists of local application of alteplase or urokinase within the thrombosed sinuses.” NCT01204333

“Administered a "safe dose" of Alteplase. All patients are treated with low molecular weight heparin” NCT02604238

“treatment with intravenous alteplase (0.9 mg per kilogram of body weight) or placebo” PMID 18815396 Sep 2008

“Selectively catheter thrombolysis with alteplase in each main pulmonary” NCT04926428

“Drug: Alteplase (tPA) Dose: 0.9 mg/kg Route: Intravenous (IV) infusion” NCT05626972

“Reteplase versus Alteplase for Acute Ischemic Stroke.” PMID 42089199 May 2026

“standard dose intravenous alteplase (0.9 mg/kg” NCT06841978

“PCDT will be AngioJet along with alteplase.” NCT04411316

“1 mg of alteplase is injected as a bolus” NCT06487052

“YM872 (zonampanel), t-PA (alteplase)” NCT00044057

“All patients receive IV alteplaseNCT01745692

“rt-PA--Activase (Alteplase)” NCT00790335

NCT00307580

NCT06667882

NCT06768138

NCT03581877

NCT00303420

NCT06653946

NCT01576679

NCT04357730

NCT03594175

NCT03348826

NCT03151993

NCT04640194

NCT03357133

NCT06658197

NCT04879615

NCT00147316

NCT02492477

NCT05728333

NCT03108833

NCT07360717

NCT00887328

NCT01062698

NCT01580839

NCT01246453

NCT05745259

NCT02814409

NCT01525290

NCT05540834

NCT01183533

NCT00468104

NCT05631847

NCT05910125

NCT03661411

NCT04419493

NCT04088292

NCT01472926

NCT06337175

NCT04430569

NCT03197194

NCT02072226

NCT00284739

NCT01464788

NCT02180204

NCT02242084

NCT04454788

NCT02257294

NCT05856851

NCT04028518

NCT07592520

NCT00784134

NCT04688320

NCT06241677

NCT05105633

NCT06184321

NCT04663750

NCT01150266

NCT00624000

NCT02216565

NCT01930682

NCT02835534

NCT06571149

NCT02159521

NCT03988842

NCT02326428

NCT04915586

NCT05903417

NCT05797792

NCT03541668

NCT03187405

NCT02474810

NCT00238537

NCT04256473

NCT07687056

NCT01949948

NCT02182011

NCT00082355

NCT02930837

NCT00265005

NCT04965038

NCT01956955

NCT06196320

NCT01455935

NCT06058884

NCT00103766

NCT03854500

NCT00640367

NCT05429476

NCT03889249

NCT03876119

NCT06115070

NCT03672006

NCT02225782

NCT04915729

NCT02002325

NCT05281549

NCT05897554

NCT02894138

NCT03854266

NCT02016547

NCT00412867

Known as Actilyse “After each catheter placement, subsequent bolus of 1mg of Alteplase (Actilyse, Boehringer Ingelheim)/catheter is administered, followed by continuous infusion at 1...” NCT05493163
9

“Alteplase is a recombinant tissue plasminogen activator used for thrombolytic treatment in several indications and is currently approved in Europe under the brand name Actilyse®.” PMID 37248330 May 2023

“Intravenous infusion in a retinal vein with rtPA (Actilyse 0.25mg/ml).” NCT03417401

“Intravenous thrombolysis by alteplase (Actilyse) (optional)” NCT02326428

“Alteplase (rt-PA)/ActilyseNCT01062698

NCT07146360

NCT02029456

NCT02132689

NCT01958164

NCT00975962

Known as Actilyse Cathflo Actilyse Cathflo was added as an additional permitted investigational medicinal product as this is already used in practice in the UK and is molecularly identical to Actilyse 10 mg.” PMID 40229856 Apr 2025
Known as Activase “administration of recombinant tissue plasminogen activator or Activase (Alteplase, rt-PA), which promotes the proteolytic action of plasmin from plasminogen at the site of a clot.” NCT00624000
3

“Alteplase (Activase, Genentech)” NCT00082355

“Alteplase 50 MG [Activase]” NCT04357730

NCT00250991

Known as Actylise “All the patients will be given a 15 minutes IA infusion of alteplase (Actylise®) at a drug concentration of 1.0 mg/ml.” NCT03876119
1

“All the patients will be given a 15 minutes IA infusion of alteplase (Actylise®) at a drug concentration of 1.0 mg/ml.” NCT05797792

Known as ALP “both drugs (Alteplase (ALP) and Tenecteplase (TNK)) are approved drugs for the indication AIS with similar efficacy and safety profile.” NCT06878066
Known as Alteplase for Injection “Active Comparator: Alteplase Drug: Alteplase for Injection Dose:50mg;20mg” NCT04028518
Known as Alteplase injection (rt-PA) Alteplase injection (rt-PA)NCT04797013
Known as Cathflo “Catheter locking solutions such as recombinant tissue plasminogen activator (rt-PA), Alteplase (Cathflo®) are used to treat and prevent clotting of the catheter during HD...” NCT02474810
1

Cathflo (Alteplase)” NCT01576679

Known as Cathflo Activase Cathflo Activase (Alteplase)” NCT00307580
1

NCT04806373

Known as recombinant human tissue plasminogen activator ClinicalTrials.gov intervention name — accepted as the source's own label NCT01429350
1

NCT01657461

Known as recombinant t-PA “activase (recombinant tissue plasminogen activator, rt-PA, or recombinant t-PA)” NCT00250991
Known as recombinant tissue plasminogen activator “administration of recombinant tissue plasminogen activator or Activase (Alteplase, rt-PA), which promotes the proteolytic action of plasmin from plasminogen at the site of a clot.” NCT00624000
17

“once weekly recombinant tissue plasminogen activator (rtPA) lock therapy more effective than routine care using heparin flushes” NCT02355743

“activase (recombinant tissue plasminogen activator, rt-PA, or recombinant t-PA)” NCT00250991

“low-dose recombinant tissue plasminogen activator (rtPA, or alteplase)” NCT00082355

“intravenous recombinant tissue plasminogen activator (rt-PA)” NCT01869478

NCT04356833

NCT07374978

NCT02767232

NCT05155540

NCT01513759

NCT01531829

NCT01133223

NCT00243906

NCT02396758

NCT00001713

NCT01678495

NCT03966079

NCT00029315

Known as recombinant tissue plasminogen activator, Alteplase recombinant tissue plasminogen activator, AlteplaseNCT01429350
Known as recombinant tissue-type plasminogen activator “Intravenous thrombolysis with recombinant tissue-type plasminogen activator (rt-PA,alteplase) or TNK-tPA (Tenecteplase,Metalyse)” NCT05634382
2

“intravenous recombinant tissue-type plasminogen activator (rt-PA) versus intravenous streptokinase” NCT00000505

“IV r-tPA (recombinant tissue-type plasminogen activator)” PMID 28596447 Jun 2017

Known as rt-PA “An Open Label, Multicenter, Single-arm Trial to Assess Safety and Efficacy of Alteplase (Rt-PA) in Chinese Patients With Acute Ischemic Hemispheric Stroke Where Thrombolysis is...” NCT02930837
42

“The purpose of this study is to examine the effects of delivering intra-arterial recombinant tissue plasminogen activator (rt-PA) and ultrasound to the site of the blood clot...” NCT00243906

“Recombinant human tissue-type plasminogen activator(rt-PA,chemical name:Alteplase,brand name: Actilyse)50mg/stick,provided by Boehringer Ingelheim Pharma Gesellschaft mit...” NCT04110275

Rt-PA (alteplase) is injected intravenously in the 2 arms of the study for a duration of 60 minutes in the arm with a "classical dose" and 90 minutes in the arm with a "low...” NCT00132509

“Previous studies on high-dose, short-term thrombolysis with alteplase (rtPA) showed a reduced risk of hemodynamic deterioration but no change in mortality and increased...” PMID 39732696 Dec 2024

“administration of recombinant tissue plasminogen activator or Activase (Alteplase, rt-PA), which promotes the proteolytic action of plasmin from plasminogen at the site of a clot.” NCT00624000

“Agent options: alteplase (rt-PA) at 0.225 mg/kg (maximum 22.5 mg) or tenecteplase (TNK) at 0.0625 mg/kg (maximum 6.25 mg), infused over 15-30 minutes.” NCT07668323

“All patients that are eligible for Intravenous thrombolysis will receive 0.9mg/kg rt-PA in aim to remove thrombus and restore reperfusion” NCT06760195

“Patients received a nebulised version of a type of drug called tissue plasminogen activator (rt-PA) that was inhaled using a nebuliser.” NCT04356833

“Intravenous thrombolysis with recombinant tissue-type plasminogen activator (rt-PA,alteplase) or TNK-tPA (Tenecteplase,Metalyse)” NCT05634382

“Intravenous (IV) Alteplase (rt-PA) is the gold standard for brain infarction within 4 h 30 of symptoms onset.” NCT02016547

“intravenous recombinant tissue-type plasminogen activator (rt-PA) versus intravenous streptokinase” NCT00000505

“rhPro-UK vs. alteplase (recombinant tissue plasminogen activator [rt-PA]) in patients with aPE.” PMID 41916317 Mar 2026

“To collect additional confirmatory data on alteplase(rt-PA) in the European setting” NCT00153036

“activase (recombinant tissue plasminogen activator, rt-PA, or recombinant t-PA)” NCT00250991

rt-PA (alteplase) 0.9mg/kg (max dose 90mg) - 10% bolus, then 90% over 1-hour” NCT01464788

“low-dose recombinant tissue plasminogen activator (rtPA, or alteplase)” NCT00082355

“Intravenous (IV) recombinant human tissue plasminogen activator (rtPA)” NCT01657461

“Intravenous infusion in a retinal vein with rtPA (Actilyse 0.25mg/ml).” NCT03417401

“intravenous (IV) recombinant human tissue plasminogen activator (rtPA)” NCT01429350

“IV r-tPA (recombinant tissue-type plasminogen activator)” PMID 28596447 Jun 2017

“Recombinant Tissue Plasminogen Activator (rt-PA)” NCT00029315

“recombinant tissue plasminogen activator (rtPA)” PMID 31069128 Apr 2019

“Intravenous throbolysis with 0.9mg/kg rtPA.” NCT03506009

“Alteplase (rt-PA)/Actilyse” NCT01062698

“Alteplase (Rt-PA)” NCT02182011

NCT06663631

NCT02347358

NCT00148460

NCT01282242

NCT06433011

NCT03394950

NCT02338466

NCT01827046

NCT05700591

NCT05965193

NCT01197573

NCT04248868

NCT03506009

NCT03740958

NCT02472574

NCT05965687

NCT04797013

Known as Standard-dose rtPA ClinicalTrials.gov intervention name — accepted as the source's own label NCT01422616
Known as tissue Plasminogen Activator “Targeted, intracoronary delivery of low-dose recombinant tissue plasminogen activator (alteplase) might be an effective strategy for improving microvascular obstruction without...” PMID 41194755 Oct 2025
33

“Complex pleural space infections often require treatment with multiple doses of intrapleural tissue plasminogen activator (tPA) and deoxyribonuclease, with treatment failure...” PMID 38710463 May 2024

“instillation of intrapleural tissue Plasminogen Activator (TPA) and human recombinant Deoxyribonuclease (DNase) for the management of empyema or complicated parapneumonic...” NCT03468933

“After chest tube insertion, participants in the treatment group will receive intrapleurally administered tissue plasminogen activator (tPA) 4 mg followed by dornase alfa 5 mg.” PMID 28646887 Jun 2017

“BACKGROUND: Whether intravenous tissue plasminogen activator (alteplase) is effective beyond 3 h after onset of acute ischaemic stroke is unclear.” PMID 18296121 Feb 2008

tissue plasminogen activator (tPA) 10mg will be administered once a day as part of intrapleural enzyme therapy (IET) for 3 consecutive days.” NCT07095361

“Patients received a nebulised version of a type of drug called tissue plasminogen activator (rt-PA) that was inhaled using a nebuliser.” NCT04356833

tissue plasminogen activator (tPA)-a naturally occurring protein that opens blocked arteries by dissolving blood clots” NCT01123161

Tissue plasminogen activator (tPA) and DNase are given through the chest tube to help with draining the fluid.” NCT03167281

“Fibrinolysis With tPA (Tissue Plasminogen Activator) Versus tPA and DNAse in Children With Empyema” NCT01862458

“recombinant tissue plasminogen activator (rtPA)” PMID 31069128 Apr 2019

NCT00650858

NCT05491356

NCT00252239

NCT01141881

NCT05736757

NCT01581411

NCT01878136

NCT01451320

NCT00000505

NCT04453371

NCT00000468

NCT02120066

NCT00417768

NCT00283088

NCT03392792

NCT05766124

NCT01478698

NCT01591096

NCT02388061

NCT07643493

NCT03468933

NCT00086723

NCT01098890

Known as tissue plasminogen activator (tPA) tissue plasminogen activator (tPA)NCT01222117
Known as tissue-type plasminogen activator “A follow-up trial using the widely available tissue-type plasminogen activator (t-PA) alteplase is now needed to assess optimal dosing and safety in this critically ill patient...” PMID 32838109 Aug 2020
Known as tPA “instillation of intrapleural tissue Plasminogen Activator (TPA) and human recombinant Deoxyribonuclease (DNase) for the management of empyema or complicated parapneumonic...” NCT03468933
23

“A follow-up trial using the widely available tissue-type plasminogen activator (t-PA) alteplase is now needed to assess optimal dosing and safety in this critically ill patient...” PMID 32838109 Aug 2020

“10mg of t-PA and 5 mg of DNase in a 30 mL solution of water/saline administered via chest tube over three days twice daily with initial administration occurring at chest tube placement.” NCT03167281

“After chest tube insertion, participants in the treatment group will receive intrapleurally administered tissue plasminogen activator (tPA) 4 mg followed by dornase alfa 5 mg.” PMID 28646887 Jun 2017

“Tissue Plasminogen Activator (tPA) is infused through the ClearRRAflow catheter into the ventricular system to promote clearance of intraventricular hemorrhage.” NCT07643493

“Purpose: to evaluate the effect of intravitreal injection of tissue plasminogen activator(tPA) in treatment of refractory diabetic macular edema(DME).” NCT01141881

“tissue plasminogen activator (tPA) 10mg will be administered once a day as part of intrapleural enzyme therapy (IET) for 3 consecutive days.” NCT07095361

“The TIMI trial of tissue plasminogen activator (TPA), which is more clot-specific than streptokinase, has substantiated the effectiveness.” NCT00000468

“The aim of this study was to determine the lowest optimal tissue plasminogen activator (tPA) dose and delivery duration using” PMID 30025734 Jul 2018

“DNAse and tPA (tissue plasminogen activator) together i.e. 5mg DNAse and 10mg tPA twice a day for up to six doses” NCT03583931

“Patients receive tissue plasminogen activator (tPA) IV over 6 hours and oral captopril twice daily on days 1-5.” NCT00086723

“intrapleural 10 mg alteplase (t-PA) with 5 mg of pulmozyme (DNase) twice daily for 72 h were used.” PMID 35581627 May 2022

tPA-a naturally occurring protein that opens blocked arteries by dissolving blood clots” NCT01123161

“commercially available recombinant tPA (Genentech as Activase®) for IV administration” NCT01591096

“5-hour infusion of 90 mg t-PA (Tissue plasminogen activator) after 10 mg bolus” NCT01451320

“Drug: Alteplase (tPA) Dose: 0.9 mg/kg Route: Intravenous (IV) infusion” NCT05626972

“t-PA (Alteplase) 5mg and DNase (Pulmozyme)5mg” NCT05903417

“Tissue Plasminogen Activator (tPA)” NCT01478698

“Group1: IV t-PA and normothermia” NCT01123161

“Alteplase t-PA” NCT00238537

NCT00044057

NCT01862458

NCT01717742

NCT03167281

Action Activate “promotes the proteolytic action of plasmin from plasminogen at the site of a clot” NCT00624000
Modality Protein / enzyme biologic “recombinant tissue-type plasminogen activator (rt-PA)” NCT00000505
Route Intravenous intravenous rt-PA” NCT00000505